Active NPI
Farrell Carley
- Professional Counselor
- Middletown, RI
National Provider Identifier
1407210339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MHC00765
- Practice address
- 1005 Aquidneck Ave
First Floor, North
Middletown, RI 02842-5535 - Phone
- (401) 662-5004
- NPI assigned
- Apr 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MHC00765 | RI | Primary |
Addresses
Primary practice location
1005 Aquidneck Ave
First Floor, North
Middletown, RI 02842-5535
Mailing address
20 Decosta Dr
Tiverton, RI 02878-3716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MHC00765 | RI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1407210339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 DECOSTA DR",
"city": "TIVERTON",
"state": "RI",
"postal_code": "028783716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 AQUIDNECK AVE",
"address_2": "FIRST FLOOR, NORTH",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028425535",
"telephone_number": "401-662-5004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLEY",
"first_name": "FARRELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-06",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "RI",
"license": "MHC00765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.